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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.

More about Dr. Ruby Sehra

Dr. Ruby Sehra is a popular Gynaecologist in Punjabi Bagh, Delhi. She has helped numerous patients in her 28 years of experience as a Gynaecologist. She is a qualified MD / MS - Obstetrtics & Gynaecology, MBBS. She is currently practising at Progeny AN IVF-ICSI Centre - A unit of Sehra Medical Centre in Punjabi Bagh, Delhi. Book an appointment online with Dr. Ruby Sehra on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 31 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Vidhi Arora

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The perineum is the area between the vagina and the anus. This fragile area plays a significant role in the female reproductive system. This is often intentionally or accidentally torn open to allow for the normal delivery of the baby. This needs to be repaired meticulously to ensure that the pelvic floor is safeguarded from further damage.

The pelvic floor contains multiple muscles and supporting tissues which help in keeping the vagina, rectum, uterus and supporting structures in their places. When these muscles become weak due to childbirth, ageing, perineal injury etc, the uterus, bladder and rectum loosen up and prolapse down.The most common problem that is encountered is urine and fecal incontinence, where the woman has difficulty holding urine and feces. Though not often discussed openly given the private nature of the topic, many women suffer from a weak pelvic floor. Read on to know some of the common causes, symptoms, and management measures.

Causes:

Chronic cough: The next time you cough for prolonged periods, notice how much pressure it puts on the pelvic area. This goes unnoticed, but chronic cough can weaken the pelvic floor muscles. It is not common for women to lose some urine during these long-drawn coughing spells.

Chronic constipation: The pressure exerted during constipation weakens the pelvic floor, often leading to incontinence.

Pregnancy and delivery: Most common cause of perineal injury, where the perineum is torn (accidentally or intentionally) to allow for easy passage of the baby. If it is not repaired meticulously, the pelvic floor is weakened.

Symptoms:

Urinary incontinence is the most common symptom that women present to doctors with. However, there are minor symptoms which a woman would experience prior to reaching this stage. Most often, these are ignored, and only brought to doctor’s notice when symptoms become quite severe. If left unattended, there could be more severe repercussions too.

A heavy feeling in the pelvic area, commonly referring to as a bearing down sensation, a feeling that the internal organs are going to pop out through the vagina

Kegel exercises are often used to strengthen the pelvic floor. This is very effective if the problem is identified quite early.

In more progressive cases, surgical repair is the most effective option. This not only corrects the prolapses but also helps boost confidence of the person, by correcting the incontinence problems and improving sexual experiences.

Vaginal rejuvenation is a surgical procedure or technique where the inner and outer muscles and structures around the vagina are surgically tightened. Remember that the vagina and surrounding tissues are composed of muscles and elastic tissue. With age and the process of childbirth, these go through a lot of changes. This could lead to changes in the way a woman experiences sex and improve her urinary function. All of this can affect overall health, both physically and emotionally.

Vaginal rejuvenation as a surgery helps to restore muscle tone, improve control and strength. It not just increases sexual pleasure, but can also relieve urinary incontinence.Ideal candidates: Now, there are specific women who would benefit from this. They are:

Women who desire a more youthful appearance and improved functioning of the vulva and vaginal areas.

Women with weakened muscle tone and strength. This could be result of aging, trauma, genetics, or childbirth. In these women, the vaginal tissues are stretched and therefore have less tone and strength and poor control. The sexual experience may be less than satisfactory because of the laxity of these tissues.

Options: Rejuvenation of the vagina can begin with a nonsurgical option and progress to gradually invasive modes.

The first option would be the Kegel exercise. This involves conscious effort on the woman to hold her breath and consciously control the pelvic floor muscle contractions. This can be done anywhere and often yields wonderful results.

The second option is the laser wherein a beam of fractional laser light is used to heat the vaginal tissues to about 60 to 70 degrees Celsius. This increased heat causes neocollagenesis, which is the production of new collagen that is firmer and more elastic. The result is growth of a thicker, more youthful vaginal lining.

The next option would be surgical where the vaginal tissues are surgically manipulated to remove excess, redundant tissue, or shaped to improve cosmetic appearance. This is often required if the pelvic floor muscles have separated. These exercises need to be followed up with Kegel for long-lasting results.

Results:

Increases friction during sexual intercourse

Improves control over vaginal tissues and muscles

Improves sexual satisfaction

Improves cosmetic appearance of the vaginal area

Reduces internal and external vaginal diameters

Strengthens the pelvic floor, and can also help relieve urinary incontinence

What to expect?

This procedure may not be covered by insurance

Get yourself in safe hands and be clear on what to expect. Expectation mismatch can be a big disappointment post-surgery, and there is nothing much that can be done about that aspect.

In case you have a concern or query you can always consult an expert & get answers to your questions!